ELLIE KELEPOURIS (MD) – Nephrology Physician, NPI 1790773547
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
738 NEPHROLOGY in PA
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Provider Addresses for ELLIE KELEPOURIS (MD)
Three Parkway, 1601, Cherry Street, Center City, Philadelphia, Philadelphia County, Pennsylvania, 19103, United States
SUITE 11511
PHILADELPHIA, PA 19102
Phone: (215) 255-7822
Fax: (215) 255-7825
Type: Mailing
Broad Street, Packer Park, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19145, United States
5TH FLOOR
PHILADELPHIA, PA 19102
Phone: (215) 762-1147
Fax: (215) 762-1904
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $37,454.
Total Amount is formed as General ($37,454) + Research ($0) + Ownership ($0) = $37,454.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($14,109).
Total Amount
$37,454
General + Research + Ownership
Payments
61
Total payment records
General Amount
$37,454
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $14,109 |
| Lilly USA, LLC | $8,835 |
| Vifor (International) Ltd. | $5,905 |
| IDORSIA PHARMACEUTICALS US INC | $2,820 |
| CALLIDITAS THERAPEUTICS US INC. | $2,631 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031112000758 | I | Nephrology | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 120 | 16 | $0 |
| 90999 | Other inpatient or outpatient dialysis procedure | 69 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 26 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 34 | 22 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 30 | 15 | $0 |
Insurance plans in this area (ZIP 19102)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | PA | 81002 | Urinalysis, manual test | 26 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Pulmonary Disease | PA | |
| Critical Care (Intensivists), Internal Medicine, Pulmonary Disease | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| - | PA | |
| Emergency Medicine | PA | |
| Nurse Practitioner | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| Nurse Practitioner | PA |
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